| NPI | 1023045655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2013032975) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2013032975) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2013032975) | |
| 207R00000X Internal Medicine (Licence: TN 48963) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2014-11-11 |